A Comparative Study of Health Economics Between Total Laparoscopic and Open Hysterectomy for Patients with Hysteromyoma

Liao Hualong; Gan Yuxiong; Li Huafeng; Cui Xuelin

doi:10.19546/j.issn.1674-3830.2022.2.012

China Health Insurance ›› 2022, Vol. 0 ›› Issue (2) : 77-80. DOI: 10.19546/j.issn.1674-3830.2022.2.012

Medical Economy

A Comparative Study of Health Economics Between Total Laparoscopic and Open Hysterectomy for Patients with Hysteromyoma

Liao Hualong¹, Gan Yuxiong¹, Li Huafeng², Cui Xuelin²

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Abstract

Objective: The aim of this study is to compare the operation process and medical expenses of patients with hysteromyoma undergoing total laparoscopic hysterectomy or total open hysterectomy, and provide evidence and advice for clinical doctors and patients with hysteromyoma to make more appropriate decisions. The study results also help medical insurance departments to formulate reimbursement rules. Methods: 173 patients who were diagnosed as hysteromyoma and needed to undergo hysterectomy in West China Second Hospital of Sichuan University from December 2020 to September 2021 were analyzed, of which 99 (57.23%) patients underwent total laparoscopic hysterectomy (TLH group), and 74 (42.77%) patients underwent total open abdominal hysterectomy or total open extra-fascial hysterectomy (traditional open operation, as TOH group). Statistical analysis was used to compare the blood loss in operation (ml), operation time cost (min), the time of hospital stay (day), total medical expense (¥), the proportion of material expenses(%) and drug expenses (%) between these two groups. Results& Conclusion: Patients with hysteromyoma undergoing total laparoscopic hysterectomy have a shorter operation time, less blood loss, and consume less medical resources than traditional total open hysterectomy.

Key words

hysteromyoma / total laparoscopic hysterectomy / total open hysterectomy / health economics

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Liao Hualong, Gan Yuxiong, Li Huafeng, Cui Xuelin. A Comparative Study of Health Economics Between Total Laparoscopic and Open Hysterectomy for Patients with Hysteromyoma[J]. China Health Insurance. 2022, 0(2): 77-80 https://doi.org/10.19546/j.issn.1674-3830.2022.2.012

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